Individual
THERESA DEHNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
Mailing address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08-08-14
OR
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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